Individual
DR. JOE R CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 E BASSE RD, SUITE 100, SAN ANTONIO, TX 78209-1801
(210) 656-3040
(210) 656-6419
Mailing address
1210 ARION PKWY, SAN ANTONIO, TX 78216-2880
(210) 349-9300
(210) 366-2558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E2513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035640404
—
TX
Enumeration date
10/19/2005
Last updated
11/18/2014
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